interest that goes to the emergency department coming from the dentist ́s consultation. During the endodontic treatment she has ingested accidentally one of the metallic instruments (dental screwdriver) with which the intervention was being made. She refers sharp body sensation at epigastrium. Abdominal radiograph is made in which is appraised in the gastric camera a metallic object of great siz...

A 77-year-old Japanese woman with cervical dystonia was admitted to our institution for steroid therapy acute hepatitis secondary autoimmune hepatitis. We prescribed oral bisphosphonates prevent steroid-induced osteoporosis. Six days after the first dose of bisphosphonate, patient complained pharyngeal and back pain. Upper gastrointestinal endoscopy revealed an ulcer in esophagus (Figure A). Co...

Aortoesophageal fistula is a rare complication of foreign body ingestion. Typically having ingested a fish or chicken bone, the patient complains of chest pain or discomfort and/or may present with massive gastrointestinal bleeding, which in all but rare cases is fatal. The pathological mechanism may involve perforation and direct communication of oesophagus and aorta usually at the level of th...

Introduction: Oesophageal perforation is a state of direct danger of life. It may occur by itself or as a complication of surgical procedure. Oesophageal perforation occurs vary rarely and mostly it is observed during intubation. It may also arise as a complication of tyroidectomy. The consequences of oesophageal perforation may be dramatic and patient in such condition requires complicated sur...

Thirty-three patients with oesophageal perforation seen within a 20-year period are reviewed. Endoscopic perforation in patients with neoplastic disease of the oesophagus carried a 100% mortality despite early diagnosis and immediate resection of the growth. Only two deaths occurred after instrumental perforation of the thoracic oesophagus for benign pathology in patients who were in the extrem...

Recently, endoscopic submucosal dissection (ESD) has been applied for the removal of superficial esophageal neoplasms [1]. Here, we report on the endoscopic management of a perforation during esophageal ESD, which resulted from an unexpected partial muscular defect. An 80-year-old man underwent gastrointestinal endoscopy, and a lesion was detected on the left side of the middle thoracic esophag...

BACKGROUND AND STUDY AIMS The use of radiofrequency ablation (RFA) for complete eradication of Barrett's esophagus has shown promise in trials conducted at predominantly tertiary academic centers; however less is known regarding outcomes in the community. We evaluated the safety and efficacy of RFA for Barrett's esophagus delivered in a community practice setting. PATIENTS AND METHODS This wa...

The operation of oesophagoplasty and Nissen fundoplication has proved valuable in the management of intractable peptic stricture of the oesophagus. This report concerns its use in perforation of the oesophagus in an 81-year-old woman with benign peptic stricture in whom perforation occurred during instrumentation. She made an uneventful recovery from operation and remained well and able to swal...

Intrathoracic oesophageal perforation remains a life-threatening lesion that requires early diagnosis and the appropriate intervention in order to reduce morbidity and mortality. Management depends largely on the cause of the perforation, the integrity of the oesophagus and the time lapse between the perforation and the commencement of treatment. Our aim was to evaluate the management options t...